About this trial
Suicide has been the third leading cause of death for Black youth in the U.S since the 1980s and persists as a leading cause of death for Black youth today. For example, in 2018 suicide was reported as the 2nd leading cause of death among Black Americans ages 10 to14 years old. Findings yielded from recent queries indicate that the gap in suicides among Black males and female youth has narrowed in recent years. Despite these disturbing trends, a dearth persists in our understanding of the factors that contribute to and prevent against suicide in Black youth, thus diminishing researchers' ability to effectively detect suicide risk in this particular population. This project aims to redress this gap by proposing the cultural adaptation of an existing suicide prevention intervention, the Signs of Suicide (SOS) prevention program, for Black middle school students. Our team will conduct a pilot randomized controlled trial among a sample of Black middle school students to assess feasibility and
examine underlying mechanisms that contribute to suicidality among Black youth. Intervention content will be adapted to assess how topics of racial identity, racial socialization, and racial discrimination uniquely impact Black youth's mental health experiences and risk for suicide. Measures of suicidal ideation, planning, and attempt will be assessed at pre-test, post-test, and 3-months after the intervention. Findings derived from this project will contribute to public health priorities by offering unique insight into the factors that either prevent or promote suicide among Black youth and could be replicated in other schools serving Black students across the nation.
Eligibility criteria
This trial accepts healthy volunteersQualifiers
Enrolled in 6th, 7th, or 8th grade at a participating school
Disqualifiers
Not enrolled in 6th, 7th, or 8th grade at a participating school
Trial design
Parallel
Treatments tested in this trial
Black Youth Suicide Prevention in Chicago
BehavioralThe Culturally Adapted intervention uses intervention video content that specifically addresses topics that shape Black youth's psychological wellbeing and development. The goal of this intervention is to share suicide prevention information in ways that are culturally responsive and attentive to the specific needs of Black adolescents.
Signs of Suicide: Standard/Existing
BehavioralStudents attending schools assigned to the Standard/Existing Intervention condition will receive the Signs of Suicide curriculum.
Treatment groups
Trial outcomes
Primary outcomes
Suicidal Ideation
Item that asks students to report if they have seriously considered suicide
Secondary outcomes
Suicide Attempt
Item that asks students to report if they have attempted suicide.
Knowledge of Depression and Suicide
This scale includes items that assess students' knowledge of depression and suicide risk and warning signs. This is the title of the scale, as used and reported in earlier suicide prevention interventions (Aseltine \& DeMartino, 2004; Schilling et al., 2016). Responses are collected using a list of true/false options. The total number of "true" statements represents more accurate knowledge of depression and suicide risk warning signs.
Attitudes Towards Depression and Suicide
This scale includes Items that assess students' attitudes towards depression and suicide. This is the title of the scale, as used and reported in earlier suicide prevention interventions (Aseltine \& DeMartino, 2004; Schilling et al., 2016). The measure includes a 5-point Likert scale with responses ranging from 1 = "Strongly Disagree" to 5 = "Strongly Agree." Higher scores on this scale represent more adaptive attitudes towards depression and suicide risk.
Sponsors and contacts
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University of Chicago
Lead sponsor
National Institute of Mental Health (NIMH)
Collaborator